Cabanga ngokuphepha kwemithi yezinkinga zokulala ngenkathi ukhulelwe
Uma unzima ukulala ngesikhathi ukhulelwe, ungase ufune ukufunda ngezinketho zokwelashwa. Izimo ezithile ezifana nokulele nokungalawuleki (i-RLS) zingase zenzeke njalo ngesikhathi sokukhulelwa. Okunye ukuphazamiseka kokulala okufana nokuhlukumeza nokuziphatha okulalayo okubizwa ngokuthi i- parasomnias kungaqhubeka nokukhulelwa futhi kudinga ukwelashwa. Kubalulekile ukuqonda indlela ukusetshenziswa okuphephile kwemithi ngesikhathi sokukhulelwa kunqunywa.
Khona-ke, ungacabangela ukuthi yini ongakhetha ngayo udokotela wakho ukuze aphathe isimo sakho futhi akusize ulale kangcono. Thola ukuthi yimiphi imithi ephephile kakhulu yokusebenzisa ukuphatha ukuphazamiseka kokulala ngesikhathi ukhulelwe.
Ukuhlukanisa ukuphepha kwezidakamizwa
Okukhethwa kokuqala ukwelapha isifo sokulala kumuntu okhulelwe ukusebenzisa izinguquko zokuphila ukuze usize ukukhulula isimo futhi ugweme yonke imithi. Kulabo ababhekene nokulala, ukwelashwa okunokwelashwa kokuziphatha kwengqondo yokulala (CBTi) kungasebenza. Ngisho nase-RLS, izinguquko ezihlukahlukene zingaholela ekusizeni ngaphandle kokusebenzisa imithi.
Ezimweni ezimbi, imithi ethile kumele isetshenziswe ngokuqapha. Ukukhathazeka ukuthi imithi eminingi ayizange ihlolwe ngamanani amaningi abesifazane. Akekho ofuna ukudala isici sokuzalwa. Izidakamizwa ezenza kanjalo zibizwa ngokuthi i-teratogenic (i-literal translation = "monster forming"). Ngakho-ke, izifundo eziningi azikwenziwa kwabesifazane abakhulelwe ngoba ngisho nengozi encane ayithathwa njengamukelekile.
Noma kunjalo, isipiliyoni kanye nezifundo ezilwaneni zisinikeze isiqondiso mayelana nokuphepha kwemithi ekukhulelwe.
Ukuhlukaniswa okulandelayo kwemiphumela yemithi ngesikhathi sokukhulelwa isetshenziswa:
- Isigaba B : Izifundo zezilwane azizange zibonise ingozi yezingane kodwa azikho izifundo ezilawulwayo kwabesifazane abakhulelwe ezikhona, noma izifundo zezilwane ziye zabonisa umphumela ongathandeki wesisu ongaqinisekisiwe kwizifundo ezilawulwa kwabesifazane ku-trimester yokuqala. Akukho bufakazi emadodeni amathathu kamuva.
- Isigaba C : Ucwaningo lwezilwane luye lwabonisa izenzakalo ezingathandeki zesisu, kepha akukho izifundo ezilawulwayo kwabesifazane abakhulelwe abakhona, noma izifundo kubantu nasezilwaneni azikho; Ngakho-ke, imithi inikezwa uma inzuzo engaba khona ingaphezu kwengozi.
- Isigaba D : Ingozi yokuthola ingane ikhona, kodwa izinzuzo zingase zibe ngaphezu kweengozi uma kukhona isifo esongela impilo noma esiyingozi.
- Isigaba X : Izifundo ezilwaneni noma kubantu zibonisa ukungavamile kwesisu; lo muthi uphikisana nabesifazane abakhulelwe.
Ngakho-ke, imithi itholakala ukuthi iphephile uma ucwaningo olwengeziwe lusekela ukuphepha kubantu. Noma kunjalo, ingozi yomuntu ngokusetshenziswa kwanoma imuphi umuthi ingase ibe nemiphumela engamukeleki.
Ukusetshenziswa Kwemithi Yezinkinga Zokulala
Ukusebenzisa izigaba ezichazwe ngenhla, imithi yokwelashwa kwezifo ezivame ukulala ngesikhathi sokukhulelwa ingahle iqoqwe. Lezi zimo zihlanganisa ukungalali, i-RLS, i-narcolepsy, ne-parasomnias. Ukuphepha kwezidakamizwa kunciphisa njengoba usuka ku-Isigaba B kuya kwisigaba C kuya kwisiGaba D futhi, ekugcineni, ku-Isigaba X. Cabanga ngemithi yokulala etholakalayo ngesikhathi sokukhulelwa kwezimo ezilandelayo:
Ukungalali
Isigaba B
Izidakamizwa kanye nama-hypnotics (Benzodiazepines): i- Zolpidem , i- Diphenhydramine
Isigaba C
Ama-sedative ne-Hypnotics (Benzodiazepines): i- Zaleplon
Anticonvulsants: Gabapentin
Ukucindezeleka nokucindezeleka: Amitriptyline, i-Doxepin, i- Trazodone
Isigaba D
Izidakamizwa kanye nama-Hypnotics (Benzodiazepines): Utshwala , i-Alprazolam, i-Diazepam, i-Lorazepam, iMidazolam, i-Secobarbital
Isigaba X
I-Sedatives ne-Hypnotics (i-Benzodiazepines): Utshwala (uma isetshenziselwa imali enkulu noma isikhathi eside), i-Estazolam, i-Flurazepam, i-Quazepam, iTemazepam, iTriazolam
I-Restless Legs Syndrome noma i-Willis-Ekbom Izifo
Isigaba B
Ama-Antiparkinsonian Agents (i-Dopaminergics): i-Bromocriptine, i-Cabergoline
I-Narcotic Agonist Analgesics (i-Opioids) (bheka D): i-Meperidine, i- Oxymorphone, i-Methadone, i-Oxycodone
Isigaba C
Ama-Analgesics aphakathi: I-Clonidine
Anticonvulsants: Gabapentin, uLamotrigine
Ama-antiparkinsonian Agents (i-Dopaminergics): i-Carbidopa, i-Levodopa, i- Pramipexole , i- Ropinirole
I-Narcotic Agonist Analgesics (i-opioids) (bona i-D): I-Codeine, i-Morphine, iPropoxyphene, i-Hydrocodone Ukucindezeleka nokucindezeleka: Amitriptyline, i-Doxepin, i-Trazodone
Isigaba D
Anticonvulsants: Clonazepam, Carbamazepine
I-Narcotic Agonist Analgesics (i-opioids) (uma isetshenziselwa izikhathi ezide noma ezilinganisweni eziphezulu ngesikhathi): i-Meperidine, i-Oxymorphone, i-Methadone, i-Oxycodone, iCodeine, i-Morphine, i- Propoxyphene, i-Hydrocodone
Isigaba X
Ama-sedatives ne-Hypnotics (i-Benzodiazepines): i-Estazolam, i-Flurazepam, i-Quazepam, iTemazepam, iTriazolam
Ukuhlukumezeka
Isigaba B
Izikhuthazo: I-Caffeine, i-Permoline
Ukucindezeleka nokucindezeleka: i-oxybate sodium (Xyrem)
Isigaba C
Izidakamizwa Nokucindezeleka: I-Fluoxetine, iParoxetine, i-Protriptyline, i-Venlafaxine
Izikhuthazo: Dextroamphetamine, Mazindol, Methamphetamine, Methylphenidate, Modafinil
Isigaba D
Akukho
Isigaba X
Akukho
I-Parasomnias (Izithintelo Zokulala)
Isigaba B
Akukho
Isigaba C
Izidakamizwa Nokucindezeleka: Imipramine, i-Paroxetine, i-Sertraline, i-Trazodone
Isigaba D
Ama-sedatives kanye nama-Hypnotics (Benzodiazepines): Diazepam
Anticonvulsants: Clonazepam, Carbamazepine
Isigaba X
Akukho
Indlela Yokukhetha Imithi
Ngemva kokucubungula uhlu lwemithi etholakalayo yokwelashwa kwezifo zokulala ngesikhathi sokukhulelwa, kufanele ube nengxoxo ecacile yesimo sakho nodokotela wakho. Uzofuna ukucabangela ubukhulu bezimpawu zakho. Ingabe nawe udinga ukwelashwa noma ingabe isimo sizozidlula? Uma kunokwenzeka, kufanele uqale uzame ukwelashwa okungewona okwemithi kuhlanganise nezinguquko zokuphila. Uma ungakwazi ukubhekana nokucindezeleka, ushintshe ukudla kwakho, noma uthuthukise isimo sakho ngokuzivocavoca, kungenzeka ukuthi akudingeki ucabangele imithi engase ibe yingozi.
Uma uthatha isinqumo sokukhetha ukuphuza imithi ngesikhathi ukhulelwe, xoxani ngezingozi ezingase zibe khona nodokotela wakho kanye nekhemisi ukuze uqiniseke ukuthi uyazi kahle imiphumela engenzeka. Ungaba ummeli wakho ongcono, kokubili wena nomntwana wakho ongakazalwa.
Umthombo:
Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." U-ExpertConsult , umagazini wesi-5, ngo-2011, iphe. 1581.